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General NPI Number Information
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NPI Number | 1427613744
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Entity Type | Individual
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Provider Name | ADINA GRIFFITH ED.S, CALT
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Gender | Female
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 302 17TH ST STE C
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City | MERIDIAN
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State | MS
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Zip | 39301-3527
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Country | US
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Telephone | 601-616-3408
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Fax |
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Provider Business Mailing Address
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Address Line | 8577 COUNTY ROAD 514
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City | MERIDIAN
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State | MS
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Zip | 39301-9280
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Country | US
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Telephone | 601-616-3408
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | 199773
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License Number State | MS
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